Pharmacies often undergo changes to their businesses and operations, primarily to adapt to the changing landscape of providing pharmacy services. These changes are the natural evolution of a business over time.  However, in undergoing these... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Payor Network Access and Defense of Network Terminations | Recent Results

You may have heard the phrase "CMS investigation." Unlike a CMS audit, which is administrative in nature, a CMS investigation usually connotes a federal criminal investigation of suspected health care fraud. A CMS investigation will likely be... Read More
Federal and State Fraud and Abuse Counseling | Healthcare | White Collar Criminal Defense & Government Investigations

Frier Levitt has been on the front-line when it comes to defending and scrutinizing audits conducted by Pharmacy Benefit Managers (“PBMs”) of independent pharmacies. Throughout our challenges against PBMs, we have uncovered and reported... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences

The U.S. Attorney’s Office, Western District of Louisiana, recently announced that the owner and operator of the Monroe-based Specialty Drug Testing, LLC (“Specialty”) was indicted by a Federal grand jury for violating the Federal... Read More
Healthcare | Healthcare Law | Hospitals and Healthcare Systems | Laboratories | Medicare Audit Appeals

On October 2, 2020, federal prosecutors in Massachusetts charged three individuals for their alleged role in a complex durable medical equipment (“DME”) marketing scheme. Of note, two of the three were also charged with criminal violations of... Read More
Healthcare | Regulatory Compliance, including FDA, DEA and HIPAA

Frier Levitt has identified an alarming trend in government investigations of pharmacies whereby Office of Inspector General (“OIG”) and Drug Enforcement Administration (“DEA”) issue subpoenas simultaneously or almost at the same time. ... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | Regulatory Compliance, including FDA, DEA and HIPAA

In a recent but aggressive trend, Elixir (formerly known as Envision Rx) has begun to issue payment and claim submission notices of suspension to pharmacies generally alleging that the pharmacies have engaged in or are engaging in activity or... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences

As a result of the COVID-19 pandemic, many Pharmacy Benefit Managers (“PBMs”) had taken some form of action to help prioritize patient care including providing safe access to prescription drugs. Many of the flexibilities and changes in policy... Read More
Blogs & Articles | COVID-19 Resources | Defending Pharmacies in PBM Audits | Life Sciences